Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Shane M Lopes, OCCUPATIONALTHERAPI

Individual provider Occupational Therapist · NPI 1245464510

Mr. Shane M Lopes, OCCUPATIONALTHERAPI is an Occupational Therapist in Ozone Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
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Practice location Address checks out

104-50 102 St Ste 2E
Ozone Park, NY 11417
Phone: (718) 288-0122
Fax: (718) 529-2475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 011600-1 (NY)

Record details

NPI number1245464510
Entity typeIndividual (Type 1)
GenderMale
Credentials OCCUPATIONALTHERAPI
Sole proprietorYes
NPI enumeratedMay 14, 2009
Last updated in NPPESMay 14, 2009
Mailing address104-50 102 Street, Suite 2e, Ozone Park, NY 11417

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